Active NPI
Robert Pate, RPH
- Pharmacist
- Lawrenceville, GA
National Provider Identifier
1649022534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH034780
- Practice address
- 689 Brooke Manor CT
Lawrenceville, GA 30045-3160 - Phone
- (205) 267-7244
- NPI assigned
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH034780 | GA | Primary |
Addresses
Primary practice location
689 Brooke Manor CT
Lawrenceville, GA 30045-3160
Mailing address
288 Evergreen Rd
Shelby, AL 35143-5117
Phone (205) 267-7244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH034780 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1649022534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 EVERGREEN RD",
"city": "SHELBY",
"state": "AL",
"postal_code": "351435117",
"telephone_number": "205-267-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 BROOKE MANOR CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453160",
"telephone_number": "205-267-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "ROBERT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH034780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.